공중보건약사 활용의 경제성 평가

• 영문명: Economic Evaluation of Introducing Public Health Pharmacist
• 발행기관: 대한약학회
• 저자명: 김재원(Jaewon Kim) 최승미(Seung-Mi Choi) 김대원(Dae-Won Kim)
• 간행물 정보: 『약학회지』제63권 제5호(2019년), 282~291쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2019.10.30

영문 초록

This study was to evaluate economic impact of the Public Health Pharmacist, in a societal perspective. We set the work scope of Public Health Pharmacist as supporting of filling a prescription in public hospitals, medication counseling and night time pharmacist in health center. Clinical outcomes of Public Health Pharmacist included drug compliance increase, social hospitalization reduction, and late night pharmaceutical accessibility improvement. And as result of drug compliance increase, inappropriate medication discontinuation, subsequent drug-related morbidity and mortality reduction might take place. Economic outcomes included cost savings from direct medical cost reduction such as medication and healthcare utilization and indirect cost of family members and care-givers. Input costs for Public Health Pharmacist included payroll costs, indirect expenses for the personnel, health center operating expenses for night time, medical material expenses, and telephone and visiting expenses for medication counseling service. Model parameters for outcomes were derived from published literatures, and costs were from literatures and health insurance statistical data in Korea. Annual costs and benefits were estimated in the year of 2018. We assumed that 1,347 public health pharmacist would be in charge, and their service meet the need of over 65 population fully, and that of the whole population in Korea in case of the “public night pharmacy.” Cost for Public Health Pharmacist was ￦70,974,390,845 per year and benefit for Public Health Pharmacist was ￦180,167,236,698 per year. Benefit-to-cost ratio was 2.538:1 and net benefit was ￦109,192,845,853 per year. However, in a certain condition in sensitivity test, it was showed that benefit of Public Health Pharmacist may reduced considerably. This implied that the cost effectiveness and economic validity of Public Health Pharmacist depend on change of medical care utilization behaviors people. In conclusion, the economic validity of Public Health Pharmacist was at least neutral under several alternative scenarios.

목차

서 론(Introduction)

연구 방법(Research Methods)

결 과(Results)

고 찰(Discussion)

결 론(Conclusion)

키워드

Economic evaluation public health pharmacist drug compliance night-time public pharmac